Organization Active NPI

Royale Care

Doing business as Royale Care Home Health

  • Home Health Agency
  • Worcester, MA
National Provider Identifier
1720493448
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
8255 Issued in MA
Legal business name
ROYALE CARE
Doing business as
Royale Care Home Health
Practice address
330 SW Cutoff
Suite 102
Worcester, MA 01604-2730
Phone
(508) 926-8848
Fax
(508) 926-8858
NPI assigned
Jun 23, 2014
Last updated
Jun 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rose N Ndille
Title
Ceo/Administrator
Phone
(508) 926-8848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 8255 MA Primary

Addresses

Primary practice location

330 SW Cutoff
Suite 102
Worcester, MA 01604-2730

Mailing address

330 SW Cutoff
Suite 102
Worcester, MA 01604-2730
Phone (508) 926-8848

Other names 1

  • Royale Care Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150210000298 MA Part A Provider - Home Health Agency 8325363575 Practice locations: Worcester, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720493448. Details of each certification follow.

Home health agency certification: CCN 227633

Legal name
ROYALE CARE
Doing business as
ROYALE CARE HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 7, 2016
Last certification
Jan 16, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Feb 9, 2012 in MA
Enrollment address
330 SW Cutoff
Ste 102
Worcester, MA 01604-2730
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Royale CareCCN 227633 · All quality measures
Ownership
Proprietary
Certified
Jan 7, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

330 SW Cutoff
#102
Worcester, MA 01604
Phone (508) 926-8848

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Rose N Ndille Individual 5% Or Greater Direct Ownership InterestCeo Sep 7, 2023 10%
Corporate Officer Apr 20, 2016 95%
Corporate DirectorCeo Sep 7, 2023 100%
W-2 Managing EmployeeCeo-Administrator Sep 13, 2023 100%
Operational/Managerial ControlCeo-Administrator Sep 13, 2023 100%
Marian Ndille Individual 5% Or Greater Direct Ownership Interest Sep 7, 2023 90%
Corporate OfficerSecretary Apr 20, 2016 5%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1720493448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SW CUTOFF",
            "address_2": "SUITE 102",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016042730",
            "telephone_number": "508-926-8848",
            "fax_number": "508-926-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 SW CUTOFF",
            "address_2": "SUITE 102",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016042730",
            "telephone_number": "508-926-8848",
            "fax_number": "508-926-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYALE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "NDILLE",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "508-926-8848"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MA",
            "license": "8255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Royale Care Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.